Provider Demographics
NPI:1043755101
Name:STEPPING STONES ABA
Entity Type:Organization
Organization Name:STEPPING STONES ABA
Other - Org Name:ASPIRE ABA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ABA
Authorized Official - Prefix:MR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:ABA
Authorized Official - Phone:713-893-6214
Mailing Address - Street 1:9 GILDA CT
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-2803
Mailing Address - Country:US
Mailing Address - Phone:845-522-1792
Mailing Address - Fax:
Practice Address - Street 1:9 GILDA CT
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-2803
Practice Address - Country:US
Practice Address - Phone:845-522-1792
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-28
Last Update Date:2016-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty